Better Sleep through Massage, Yoga, and Mindfulness

Sleep is a complex biological process that is vital to our overall wellbeing. There are now 85 different recognized sleep disorders that affect almost 70 million Americans, and the long-term consequences of sleep loss are associated with a long list of chronic and sometimes very serious health conditions. In addition to being linked to increased risk of heart attack and stroke, poor quality sleep is also related to chronic musculoskeletal pain, specifically osteoarthritis, fibromyalgia, and low-back pain.

Massage, Yoga, and Mindfulness are all drug-free ways to improve quality of sleep.

Massage: People who receive massage experience deeper, more restorative, less disturbed sleep. It doesn’t matter which modality of massage or what time of day; studies consistently report that massage contributes to a more organized sleep pattern, where the various stages of sleep happen in consistent order and duration. The positive effects of massage on sleep also contributes to a reduction in pain-sensitizing neurotransmitters, which lowers pain levels. (Source: Ruth Werner, Massage Bodywork)

Yoga: There have been several studies recently that show yoga can improve disrupted sleep. A Harvard Medical School study showed that yoga can help chronic insomnia, making it easier to fall asleep, stay asleep, feel well-rested, and wake up after sleeping. A study of cancer survivors linked yoga to better sleep quality, less fatigue, and improved sense of quality of life. In general, yoga seems to increase sleep efficiency, enhance quality of life, and decrease insomnia. (Source: Michael J Breus, PhD, Psychology Today)

Mindfulness: Like Yoga and Massage, Mindfulness is a way to invoke the Relaxation Response, which is a deep physiological shift in the body that is the opposite of the stress response. For many people, sleep disorders are a reaction to stress. Spending 20 min a day in a mindfulness practice helps create a reflex to bring forth a feeling of relaxation. Then it is easier to access that feeling of relaxation at night to assist in falling asleep and maintaining better quality of sleep. A study on a mindfulness awareness program showed results including less insomnia, fatigue, and depression. (Source: Julie Corliss, Harvard Health)

Sleep is crucial to our health, and Massage, Yoga, and Mindfulness are all effective tools for improving the overall quality of our sleep without using pharmacological drugs. They help with insomnia, fatigue, pain levels, sleep pattern organization, and sleep efficiency. Getting enough high quality sleep is a cornerstone of a healthy life, and there are many ways to improve your sleep and your sense of wellbeing.

Integrative Medicine & the Growing Edge of Health Care

Integrative medicine is an approach to care that puts the patient at the center and addresses the full range of physical, emotional, mental, social, spiritual and environmental influences that affect a person’s health. Employing a personalized strategy that considers the patient’s unique conditions, needs and circumstances, it uses the most appropriate interventions from an array of scientific disciplines to heal illness and disease and help people regain and maintain optimum health.   Duke Integrative Medicine

Integrative medicine is patient-centered health care that takes the whole person into account. It is not alternative care, which is used in place of western medicine, and it is not complementary care, which is used to supplement western medicine. Instead, Integrative Medicine begins with the health of the patient and partners with them to address all the causes of an illness, not just the treatment of symptoms. There is a complex interplay between the biological, behavioral, psychosocial, and environmental influences on health, and so it is necessary to engage with the full range of these influences.

In order to take this full spectrum approach to health, Integrative Medicine uses all available healing sciences to best treat the patient’s unique circumstances. Through a willingness to use the healing modalities that will be the most effective and least invasive options, and to combine these treatments into personalized care, Integrative Medicine

neither rejects conventional medicine nor uncritically embraces alternative therapies; rather, integrative medicine can be described as a practice that “cherry picks” the best and scientifically supported therapies of both systems. The ultimate goal: to get the patient better, through the use of safe, effective, less-invasive interventions whenever possible.   UCLA, Explore Integrative Medicine

Integrative Medicine also focuses on prevention and the development of effective self-care for patients. According to the CDC, 70% of all deaths are due to chronic disease, and the cost of chronic care accounts for 75% of all medical expenses. Yet we spend very little on prevention and health promotion, which has been proven to dramatically reduce the burden of chronic disease. Our conventional medical system has a bias toward high-tech and invasive crisis intervention, which contributes to the dysfunction in our health care system. Integrative Medicine is a growing solution to these issues as it invests in the whole body health of patients and partners with them on their healing journey in order to empower their physical, mental, and spiritual health.

HaLe’ is Integrative Health Care. We use techniques with proven effectiveness to treat each patient under their own unique circumstances, and we partner with and empower the health of all our clients. Our offerings are rich with opportunities and support for continued health and healing.

 

Reasons Why You Need a Massage

from Erin Law

The first thing I want to say is, energetically, I feel lighter when I get bodywork and I want other people to feel that way. It’s like 10 pounds lifts off the body just from getting a massage. I think that setting that time aside for yourself is a testimony to self love and self care. It is preventative medicine really, it keeps us out of the doctor and out of the chiropractor. I also think that when you go and get bodywork and feel better, it is easier for you to give love. I really believe that it ripples out on the goodness quotient.

Massage also brings body awareness. I consider myself someone who is incredibly aware of my body, but I will get bodywork and think, wow, I didn’t know my body was experiencing tightness and constrictions there. It reminds me how interconnected the body is in general. I might have tension in my glute, but it could be coming from something in the front of the body. Also, a lot of us spend time looking down at our devices, which really rounds us down, and massage can help return us to a healthy home base. We use so much technology that it is easier and easier to forget about how the whole body is connected, and so it is good to develop the awareness of the relationships of our body.

Massage also allows for some deeper work to be done, and gives us a chance to sort of tune up the muscles that are doing all the supporting and the grunt work, if you will. Once that muscle tension has been alleviated, performance is automatically enhanced in whatever activity you are doing. Having that tension limits possibilities for range of motion, and so releasing it increases possibilities in the field of whatever you are doing.

If you are an athlete, getting massage is as important as brushing your teeth in the morning. You can’t expect that much out of your body if you don’t give it the care it deserves. Massage promotes longevity, because you can be active for longer, or be an athlete for longer. If you want to be active, you have to treat your body well.

The Four Foundations of Mindfulness

by Elmo Shade

  1. CONTACT- Breath, Body, Sounds, 5 Senses

The formal training of mindfulness takes place on the meditation cushion by re-directing the wandering attention. Breath and body awareness is the best place to start. By re-directing attention from the thinking mind to the breath or the felt sense of the body, we begin to condition our attention to be in the present moment.

ex: smelling the sweet aroma of chocolate in an ice cream shop

 

  1. FEELING TONES- Pleasant, Unpleasant, Neutral

Every single experience or event has a feeling tone to it, i.e. a categorization of “I like it” (pleasant); “I don’t like it” (unpleasant); “I am undecided or neutral about it” (neutral). By paying attention to the experience and its feeling tone, we can begin to examine our inner relationship to it, e.g. clinging to what is pleasant or pushing away and resisting what is unpleasant.

ex: I love the smell of chocolate 

 

  1. PERCEPTION- Mental Filters, Assumptions, Stories

Between stimulus and response, there is an approximate gap of .25 seconds. It is in this gap that we filter an event based upon past experiences. Our MAPS or “My Assumptions, Perceptions and Stories” become our reality and our reality is most often not in concert with what is factual or true. Perception then is NOT reality; it is only the ego misrepresenting the past in the present moment.

ex: chocolate reminds me of wonderful family experiences 

 

  1. CONSCIOUSNESS- Intention to act, e.g. reacting v responding

If we are not paying attention, our inclination will be to “do something”, i.e. to react with attachment (cling to it) or aversion (get rid of it) which lead to unhealthy and unproductive mental states like anger, blame, judgment/becoming. Paying attention to the truth of the present-time experience allows us to respond with curiosity and compassion instead of being stuck in a reactive pattern, e.g. indulging.

ex: I can’t believe I ate the whole thing. I feel sick and emotionally drained

When to Get Cupping Therapy

Cupping Therapy improves muscle performance and moves fluids by using negative pressure (suction) to lift tissue. It is a powerful healing tool that can be customized and utilized effectively for a wide range of body issues.

Muscle Tension: The pull of the cups on contracted muscle tissue helps it to release and relax. This is especially effective when done as a complement to massage.

Chronic Muscle Pain: The connective tissue that wraps around muscles is called fascia, and it can adhere to the muscle in a way that prevents the muscle from fully releasing, causing chronic or recurring pain. Cupping can help release the fascia (also called myofascial release), especially when the cups are moved along the tissue.

Scar Tissue: Cupping can help break up scar tissue adhesions, allowing better flow of blood and lymph and freeing bound muscular tissue for improved range of motion and performance.

Swelling: Using cups around bruised or swollen tissue can help draw excess fluids away and stimulate healing.

Joint Pain: Cupping around an achy joint (knee, shoulder, etc.) can help draw blood and nutrient flow to the problem area to speed healing, as well as release myofascial issues and muscle tension that may be contributing to the discomfort.

Cold/Flu or Deep Cough: Cups applied to the back over the lungs can help break up lung congestion and stimulate healthy respiratory function. Facial cupping can also help relieve sinus pressure.

Digestive Issues: Abdominal cupping can help relieve digestive distress and stimulate healthy bowel function.

TMJ and Facial Dysfunction: Specially designed smaller cups will not leave marks on the face and can be used to address problems in the jaw and other facial issues, stimulating healing and restoring function.

Cellulite: The distinctive appearance of cellulite is caused by an underlying grid-like structure of the skin, which spreads to allow fat tissue to bulge through. Cupping with silicone cups can help reset this grid-like structure, closing gaps and smoothing the appearance of the cellulite.

Women’s Health: Regular abdominal cupping can decrease menstrual discomfort and address fibroids. It also helps draw back together the abdominal separation caused by pregnancy, and can help with scar tissue from breast reconstruction/augmentation.

Cupping Therapy Plays Well with Others

Cupping therapy is an important part of our integrative health practice because it supports the process of many of our treatments. I talked with several of our talented therapists about how it complements the work that they do. Every session of Ha.Lé Bodywork is adjusted to meet the needs of the client in the moment. For example, our therapists may take a sports massage focus for highly active bodies, a therapeutic or medical massage focus to treat pain and structure issues, or a lymphatic focus to move fluids and support the healing process. Often a combination of techniques are used, and cupping therapy helps support many of these treatment goals.

Sports bodywork:

Cupping therapy helps to jump start myofascial release. The negative pressure of the suction combined with movement gives a different sensation than other myofascial techniques and helps the muscle reset itself to where it needs to be because the fascia has released. It is a great complement to other techniques and can sometimes create shifts that provide instant relief and allow chronic problems to just fade away.

Therapeutic bodywork:

Using cupping therapy after an Ashiatsu treatment really helps to bring the blood flow to the area, especially any area that is feeling stagnant, like the back or arm. The suction also helps to release the muscle when it is contracting, making for a faster release and bringing blood flow more quickly to the area. Afterward, people tend to feel either really energized or like they just ran a marathon.

Lymphatic bodywork:

Cupping can be very effective in helping to break up scar tissue that is impeding lymph flow, but it is not usually indicated for treating lymphadema or other lymphatic issues directly because it can be too aggressive for the lymph system. However, cupping works through the use of negative pressure, and there is ongoing conversation in the lymphatic massage community as we learn more about how to use cups and other negative pressure tools gently enough to support the lymphatic system.

Acupuncture:

Cupping facilitates better movement of blood and qi in an acupuncture treatment because of the openness of the tissue. The cups create negative pressure, as compared with massage, which uses positive pressure. This negative pressure opens up muscle and tissue, which works in concert with acupuncture needles to move qi.

Treating Pain with Integrative Health Care

Two weeks ago we discussed Dr Jackson’s TED talk about the inadequacy of opioid drugs and surgery for addressing chronic pain. Last week we talked about Central Sensitization, a biological process where pain modifies the way the nervous system works, making things hurt worse than they should and pain last longer than it should.

As the health care field grows its understanding of where pain comes from and how we need to change our approach to treating it, it is our great honor to be care providers in relationship to individuals.  HaLe’ is grassroots, which means we are growing an innovative way, building from modern research and ancient modalities to better cope and deal with health issues.

Evidence shows that only 20% of medical issues can be 100% dealt with by the medical field. We have a great regard and respect for what surgery and medicines and other western medical practices can do for us, and want them available for ourselves, our families, and others. Yet there is so much more to health than what western medicine can fully treat.

What we do is collaborate and partner, drawing understanding of the body’s dynamic response that happens daily in our practice. Every time a person comes in and connects with their breath­­, when there is movement, when there is connection, then there is a dynamic response that happens. We are not bringing people a shallow patina of “feel better”; we are delivering a systematic method of health and well being that is accessible to every single person no matter what your age, medical history, or where you come from.

Integrative medicine is not a new way of treating health and wellness; it is an objective. It increases connectivity for an individual because that is what integration is. This is not about one system of the body, but about many systems working in unison for the betterment of whole health. There is a bottom up response coming from the patient as they demand care on a holistic level, and that broader scope is where the care paradigm begins to switch. We are here to provide support and create space for that to happen.

Health is a dynamic system of balance and counterbalance that is complex and interconnected. Every person should walk away feeling better than when they came in our door. Even when you aren’t feeling bad, there is still room to feel better and to engage in the processes of health.

Central Sensitization & Pain That Gets Worse

by Chelsea Henry

Pain can modify the way the nervous system works, making the body more sensitive to less stimulation, in a process called Central Sensitization. This happens mostly through changes in the brain and spinal cord, and means that little things hurt worse than they should, and that it takes longer for the pain to fade. We found this wonderful article, Central Sensitization in Chronic Pain by Paul Ingraham, which is a jargon-to-English translation of rock star pain researcher Clifford Woolf’s published paper.

As explained in the article, it is hard to know when a person is feeling more pain than they should, because we do not yet have a test we can run to show how much pain someone is feeling. That means that we only have our own experiences to go by, and without a defined “normal”, it is easy to not know that we are in more pain than we should be.

Central Sensitization is very well-documented and easy to create in lab settings. It also shows up so often as a complication of painful problems that some researchers think it might be a common denominator. It could be what puts the “chronic” in chronic pain.

Though we know that Central Sensitization exists, we do not yet know why it happens to some people and not others, and we do not have a good way to diagnose it. It could be a part of any case of chronic pain, but it is not clear how to separate the pain that comes from a problem in the tissue from the pain that comes from Central Sensitization.

When a person has Central Sensitization, it basically means they have a hyper-active warning system and the body is no longer giving useful, sensible pain signals. On a fundamental level, pain is about your brain’s assessment of safety: unsafe things hurt. Therefore we can treat Central Sensitization by being kind to our central nervous system. We can decrease stress and increase a feeling of safety and ease. Yoga, yoga therapy, massage, meditation, and mindfulness can all help create the felt experience of wellness the body needs in order to start turning off the alarms. Feeling safe and good, and having therapeutic experiences that are pleasant, easy, and reassuring, can go a long way in calming the nervous system and bringing the body back out of excessive pain.

Chronic Pain and the Hardest Pill to Swallow

by Chelsea Henry

Dr. Tracy Jackson spoke at TEDx Nashville about “The Hardest Pill to Swallow”, regarding chronic pain. We at HaLe’ feel inspired, because we see the evidence of the effectiveness of our holistic approach on the pain levels of our clients and students every day.

Chronic pain steals your mojo on every level. It is the #1 presenting complaint to doctors and top reason people are out of work, and yet US outcomes and treatment of chronic pain are among the worst in the developed world. We have a limited and flawed understanding of chronic pain, and we don’t want to accept what we do know.
Pain is a perception, and how do you prove it to doctors who are trained to diagnose and treat physical symptoms in the body? People with chronic pain go to 10 min doctor visits and present their case so that the doctor perceives their perception of their pain correctly. The worst that can happen is if the doctor thinks it is all in your head. But ALL pain is literally all in your head!

Think about a kid who doesn’t want to go to school because there is a test, or a monster under the bed. They get a tummy ache. They get a physical symptom based on an emotional issue. As adults, we deny that pain from mental stress manifests as pain in the body. But we cannot feel pain without a functioning brain. Chronic pain causes central sensitization, and our mood, sleep, and pain pathways all overlap. It all feels like pain in the body.

Americans are prescribed enough opioid pain pills for every person to take 3 pills a day for 42 days every year. The #1 cause of accidental death in the US is opioid overdose, which is more than car accidents. And yet no scientific study shows that opioids are effective for chronic pain after 6 months, and after that they start to change the body so that it feels more pain. They also mess with mood, sleep, immune function and sexual function. Chronic pain is not about a lack of pain pills. We are missing something.

Everything is connected in the body. You have to move regularly if you have chronic pain, it is the cornerstone of all effective treatment. It is significantly even more effective if that movement incorporates breathing and mindfulness techniques, like yoga. Some doctors ask how can that work if surgery and oxycontin don’t, but it has been proven to drastically reduce the pain experience by changing the way we think, breathe, and move. Harvard neuroscientists have shown that we can change the very structure of our brains and can reverse the changes caused by chronic pain by using the breath.

Pills and procedures do work for some people, but if they don’t work for you, you have to accept it and do something different. We can admit that stress and lifestyle choices contribute to and cause chronic pain at any age. We can hold ourselves accountable to seek out the longer, more durable path to real relief. We can advocate for more holistic functional rehabilitation resources (which have been thoroughly proven to work!) available to all of us, and teach that we can be active participants in our own healing and our own lives. The hardest pill to swallow is that there is no quick fix to chronic pain. But there is a fix!

Watch Dr. Tracy Jackson at TEDx Nashville

In Your Words… No longer prone to falling

by Barbara Y.

For my entire life, I’ve been somewhat clumsy. I tripped over things, ran into corners and fell often. As a kid, this wasn’t so bad but as an adult it became more problematic. As a result, I’ve needed a good bit of bodywork, having done various types of massage with many different therapists for over 20 years.  I always thought it was just me, something in my personality that made me prone to falling. However, all this changed when I had the great fortune to meet Will Ravenel at HaLe’.

Not only has Will, through Rolf Therapy and Myofascial Release, balanced the structure of my body so I’m more grounded with better posture, I haven’t had a bad fall since working with him (knock on wood). Rolf Therapy was something I’d always heard about with curiosity but kept putting off. I’m forever grateful to Janice Cathey for suggesting this form of bodywork, as it’s been perfect for me. I’ve heard others talk about their Rolf therapists with mixed reviews. I have only glowing praise for Will. He is not only extremely knowledgeable about the human body, he’s a kind and generous person. He takes time to explain the work, giving exercises and advice on maintaining good posture. Will has helped me understand how integrated we are physiologically and how to maintain a balanced and grounded way of moving through the world.

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